I rent cars in the US and Canada with my San Pedro license and have never had a problem. My license (the past 3 years) even had me marked as Male. (I'm female, by the way) I was even pulled over by the Austin TX Police a couple months ago, and he never even commented on my license. (Although I think I saw a snicker)I usually rent from Hertz, Avis, and Thrifty.

Two months after I got my Belize drivers license I was renting a car in California. I presented my Belize drivers license and the woman laughed and asked if I had made it myself. I laughed and said no. Then she noticed it had expired and I said it couldn’t have; I had just gotten it. She showed it to me. Thank goodness my California license was still good. When I got back to San Pedro I went into the traffic and asked “WHY?” They explained that it ALWAYS expires on your birthday following the date of issue. Who would have ever thought of that? I’m biting my tongue to not make further snide remarks and reminding myself that I love living here.